Organization Active NPI

Sherwood Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Danville, VA
National Provider Identifier
1366058604
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SHERWOOD ORAL SURGERY
Practice address
174B Executive Dr
Danville, VA 24541-4100
Phone
(434) 792-4046
Fax
(434) 792-7200
NPI assigned
Sep 22, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tammy C McVay
Title
Office Assistant
Phone
(434) 792-4046

National Provider Directory

National Provider Directory

Locations

174B Executive Dr
Danville, VA 24541
Phone (434) 792-4046

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

NPPES NPI Registry

Primary practice location

174B Executive Dr
Danville, VA 24541-4100

Mailing address

174B Executive Dr
Danville, VA 24541-4100
Phone (434) 792-4046

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2020.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1366058604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174B EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414100",
            "telephone_number": "434-792-4046",
            "fax_number": "434-792-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174B EXECUTIVE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414100",
            "telephone_number": "434-792-4046",
            "fax_number": "434-792-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERWOOD ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MCVAY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "434-792-4046"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.